NPI | 1043211915 |
---|---|
Former Name | JEANNETTE DELRENE PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003459) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00069915) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2021-11-10 |